Individual
DR. MASIS YETERIAN JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.M.D
Contact information
Practice address
211 E PUTNAM AVE, SUITE 7, COS COB, CT 06807-2734
(203) 869-2884
(203) 618-1213
Mailing address
211 E PUTNAM AVE, SUITE 7, COS COB, CT 06807-2734
(203) 869-2884
(203) 618-1213
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
009390
CT
1223G0001X
General Practice Dentistry
042261
NY
Other
Enumeration date
06/03/2009
Last updated
06/03/2009
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